Back to resultsEffects of Mulligan's Technique in Subjects With Shoulder Impingement Syndrome
Primary Purpose
Shoulder Impingement Syndrome
Status
Completed
Phase
Not Applicable
Locations
Brazil
Study Type
Interventional
Intervention
Mobilization with Movement (MWM) condition/ Sham condition
Sham condition/ Mobilization with Movement (MWM) condition
Sponsored by
About this trial
This is an interventional treatment trial for Shoulder Impingement Syndrome focused on measuring Shoulder Impingement Syndrome, Mulligan's Mobilization with Movement, Physical Therapy
Eligibility Criteria
Inclusion Criteria:
- history of shoulder pain of >1-week duration, localized at the proximal anterolateral shoulder region consistent to Shoulder Impingement Syndrome (SIS);
- at least 1 positive impingement test (Jobe's test, Neer's test, Hawkins-Kennedy's Test) associated with painful range of motion during arm elevation; or pain during external rotation with the arm in 90 degrees of elevation in the coronal plane.
Exclusion Criteria:
- fibromyalgia (based on self-report),pregnancy, a history of onset of symptoms because of traumatic injury, other histories of shoulder injury, torn tendons, ligamentous laxity based on positive Sulcus test and apprehension test, numbness or tingling in the upper extremity, previous shoulder or neck surgery, systemic illnesses, body mass index > 28kg/m2, corticosteroid injection 3 months before evaluation, physical therapy 3 months before evaluation.
Sites / Locations
- UFSCar
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Group 1 - MWM condition/Sham condition
Group 2 - Sham condition/MWM condition
Arm Description
Subjects will receive treatment for 4 times with Mulligan's Mobilization with Movement (MWM) condition, and after 72 hrs, will be treated 4 times with the sham condition.
Subjects will receive treatment for 4 times with sham condition, and after 72 hrs, will be treated 4 times with the Mulligan's Mobilization with Movement (MWM) condition.
Outcomes
Primary Outcome Measures
Pressure Pain Threshold
The pressure pain threshold will be assessed with a algometer and the unit of measure is the kilogram per square centimeter.
Secondary Outcome Measures
Range of Motion
The range of motion will be assessed with a goniometer and the unit of measure is the degree
Peak Force
The Peak Force will be assessed with a handheld dynamometer and the unit of measure is the kilogram.
Full Information
NCT ID
NCT02463526
First Posted
April 30, 2015
Last Updated
December 20, 2015
Sponsor
Universidade Federal de Sao Carlos
Collaborators
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.
1. Study Identification
Unique Protocol Identification Number
NCT02463526
Brief Title
Effects of Mulligan's Technique in Subjects With Shoulder Impingement Syndrome
Official Title
The Effects of Mulligan's Technique on Range of Movement, Pressure Pain Threshold, Muscle Strength, and Functionality in Subjects With Shoulder Impingement Syndrome
Study Type
Interventional
2. Study Status
Record Verification Date
December 2015
Overall Recruitment Status
Completed
Study Start Date
April 2015 (undefined)
Primary Completion Date
December 2015 (Actual)
Study Completion Date
December 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Universidade Federal de Sao Carlos
Collaborators
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Participants will be initially assessed for their suitability for inclusion in the study and will undergo a physical screening of the affected shoulder and cervical spine by an experienced physiotherapist. After, participants will be attended 72 hours after data recording of the baseline measures (range of motion with a goniometer, pressure pain threshold with a algometer, and peak force with a dynamometer) for four sessions per week with 24 hours of interval between sessions. At each experimental week session, each participant will receive one of the two treatment conditions (MWM or sham) and then will repeats the assessment. In the following week, there will be a crossover condition of each individual and 24 hours after the last treatment session, the examiner will do the last assessment.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Shoulder Impingement Syndrome
Keywords
Shoulder Impingement Syndrome, Mulligan's Mobilization with Movement, Physical Therapy
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
27 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Group 1 - MWM condition/Sham condition
Arm Type
Experimental
Arm Description
Subjects will receive treatment for 4 times with Mulligan's Mobilization with Movement (MWM) condition, and after 72 hrs, will be treated 4 times with the sham condition.
Arm Title
Group 2 - Sham condition/MWM condition
Arm Type
Experimental
Arm Description
Subjects will receive treatment for 4 times with sham condition, and after 72 hrs, will be treated 4 times with the Mulligan's Mobilization with Movement (MWM) condition.
Intervention Type
Other
Intervention Name(s)
Mobilization with Movement (MWM) condition/ Sham condition
Intervention Description
The treatment condition consists in the application of a posterolateral glide (MWM) in the affected shoulder. Subjects will be seated and the therapist will stay beside the participants on the opposite side to the affected shoulder. One hand will be placed over the scapula posteriorly while the thenar eminence of the other hand will be placed over the humerus head anterior aspect. A posterior glide will be applied to the humeral head. Three sets of 10 repetitions will be applied with a 30 seconds rest interval between each set. Sham condition will replicate treatment condition except for the hand positioning. The therapist will place one hand along the clavicle and the other on the humeral head posterior aspect of the affected shoulder. A simulated anterior glide will be performed.
Intervention Type
Other
Intervention Name(s)
Sham condition/ Mobilization with Movement (MWM) condition
Intervention Description
The Sham condition consists in the application of a simulated anterior glide in the affected shoulder. Subjects will be seated and the therapist will stay beside the participants on the opposite side to the affected shoulder. The therapist will place one hand along the clavicle and the other on the humeral head posterior aspect of the affected shoulder. A simulated anterior glide will be performed. Three sets of 10 repetitions will be applied with a 30 seconds rest interval between each set. The treatment condition will replicate treatment condition except for the hand positioning. The therapist will place one hand over the scapula posteriorly while the thenar eminence of the other hand will be placed over the anterior humerus head. A posterior glide will be applied to the humeral head.
Primary Outcome Measure Information:
Title
Pressure Pain Threshold
Description
The pressure pain threshold will be assessed with a algometer and the unit of measure is the kilogram per square centimeter.
Time Frame
72 hours before the treatment starts, 24 hours after the last MWM or Shaw treatment, and 24 hours after the last treatment.
Secondary Outcome Measure Information:
Title
Range of Motion
Description
The range of motion will be assessed with a goniometer and the unit of measure is the degree
Time Frame
72 hours before the treatment starts, 24 hours after the last MWM or Shaw treatment, and 24 hours after the last treatment.
Title
Peak Force
Description
The Peak Force will be assessed with a handheld dynamometer and the unit of measure is the kilogram.
Time Frame
72 hours before the treatment starts, 24 hours after the last MWM or Shaw treatment, and 24 hours after the last treatment.
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
history of shoulder pain of >1-week duration, localized at the proximal anterolateral shoulder region consistent to Shoulder Impingement Syndrome (SIS);
at least 1 positive impingement test (Jobe's test, Neer's test, Hawkins-Kennedy's Test) associated with painful range of motion during arm elevation; or pain during external rotation with the arm in 90 degrees of elevation in the coronal plane.
Exclusion Criteria:
fibromyalgia (based on self-report),pregnancy, a history of onset of symptoms because of traumatic injury, other histories of shoulder injury, torn tendons, ligamentous laxity based on positive Sulcus test and apprehension test, numbness or tingling in the upper extremity, previous shoulder or neck surgery, systemic illnesses, body mass index > 28kg/m2, corticosteroid injection 3 months before evaluation, physical therapy 3 months before evaluation.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Francisco Alburquerque-Sendín, Professor
Organizational Affiliation
Universidade Federal de Sao Carlos
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Tania Salvini, Professor
Organizational Affiliation
Universidade Federal de Sao Carlos
Official's Role
Study Chair
Facility Information:
Facility Name
UFSCar
City
São Carlos
State/Province
São Paulo
ZIP/Postal Code
CEP 13565-905
Country
Brazil
12. IPD Sharing Statement
Learn more about this trial
Effects of Mulligan's Technique in Subjects With Shoulder Impingement Syndrome
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